Individual provider Active NPI

Jim Jin, MD

  • Pediatrics Physician
  • Ocoee, FL
National Provider Identifier
1942823398
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME162222 Issued in FL
Practice address
1583 E Silver Star Rd
Ocoee, FL 34761-2553
Phone
(407) 770-1414
Fax
(407) 447-8876
NPI assigned
May 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X ME162222 FL Primary

Addresses

Primary practice location

1583 E Silver Star Rd
Ocoee, FL 34761-2553

Mailing address

1583 E Silver Star Rd
Ocoee, FL 34761-2553
Phone (407) 770-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME162222FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Together Pediatrics, LLC Pediatrics CurrentSince Nov 7, 2025 Accepting new patients
Growing Together Pediatrics, LLC PastSince Nov 7, 2025 Accepting new patients
Tree House Pediatrics PLLC Pediatrics PastSince Sep 15, 2024 Accepting new patients

Locations

1583 E Silver Star Rd
Ocoee, FL 34761
Phone (407) 770-1414

5164 Conway Rd
Orlando, FL 32812
Phone (407) 770-1414

Interoperability endpoints

  • Direct secure messaging: jim.jin@gtp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDBCA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1942823398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 E SILVER STAR RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612553",
            "telephone_number": "407-770-1414",
            "fax_number": "407-447-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 E SILVER STAR RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612553",
            "telephone_number": "407-770-1414",
            "fax_number": "407-447-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "JIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME162222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.